Fentanyl Transdermal Patch

Zamkati

• Kuti mugwiritse ntchito chigamba, tsatirani izi:
• Musanagwiritse ntchito zigamba za fentanyl,
• Zigawo za Fentanyl zimatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa MUCHENJEZO CHENJEZO, itanani dokotala wanu mwachangu:
• Zizindikiro za bongo zingaphatikizepo izi:

Zigawo za Fentanyl zitha kukhala chizolowezi, makamaka mukamagwiritsa ntchito nthawi yayitali. Gwiritsani ntchito chigamba cha fentanyl ndendende momwe mwalangizira. Musagwiritse ntchito zigamba zambiri, onetsetsani zigamba pafupipafupi, kapena gwiritsani ntchito zosiyanazo mosiyana ndi zomwe dokotala akukuuzani. Mukamagwiritsa ntchito zigamba za fentanyl, kambiranani ndi omwe amakuthandizani pazithandizo zanu zopweteka, kutalika kwa chithandizo, ndi njira zina zothetsera ululu wanu. Uzani dokotala wanu ngati inu kapena wina aliyense m'banja mwanu amamwa mowa kapena amamwa mowa wambiri, amagwiritsa ntchito mankhwala osokoneza bongo, kapena amamwa mankhwala osokoneza bongo, kapena amamwa mankhwala osokoneza bongo, kapena ngati mwakhala mukudwala kapena matenda ena amisala. Pali chiwopsezo chachikulu choti mugwiritse ntchito zigamba za fentanyl ngati mwakhalapo ndi izi. Lankhulani ndi omwe amakuthandizani nthawi yomweyo ndikupemphani kuti akuwongolereni ngati mukuganiza kuti muli ndi vuto la opioid kapena pitani ku US Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline ku 1-800-662-HELP.

Zilonda za Fentanyl zimatha kubweretsa mavuto owopsa kupuma, makamaka munthawi ya 24 mpaka 72 maola omwe mumalandira chithandizo chanu komanso nthawi iliyonse yomwe mlingo wanu ukuwonjezeka. Dokotala wanu adzakuyang'anirani mosamala mukamalandira chithandizo. Chifukwa cha chiopsezo chachikulu ichi, zigamba za fentanyl ziyenera kugwiritsidwa ntchito pochiza anthu omwe ali ololera (omwe amagwiritsidwa ntchito ndi mankhwala) ku mankhwala opioid chifukwa atenga mankhwalawa kwa sabata limodzi ndipo sayenera kugwiritsidwa ntchito pochiza kupweteka pang'ono kapena pang'ono, kupweteka kwakanthawi, kupweteka pambuyo pochita opareshoni kapena njira zamankhwala kapena mano, kapena ululu womwe ungawongoleredwe ndi mankhwala omwe amatengedwa ngati akufunikira. Uzani dokotala wanu ngati mwakhala mukucheperapo kapena mphumu. Dokotala wanu angakuuzeni kuti musagwiritse ntchito zigamba za fentanyl. Uzaninso dokotala wanu ngati mwakhalapo kapena mudakhalapo ndi matenda am'mapapo monga matenda osokoneza bongo (COPD; gulu la matenda omwe amakhudza mapapo ndi njira zapaulendo), kuvulala pamutu, chotupa muubongo, kapena vuto lililonse lomwe limakulitsa kuchuluka kwa kupanikizika mu ubongo wanu. Chiwopsezo choti mutha kukhala ndi vuto lakupuma chimatha kukhala chachikulu ngati ndinu okalamba kapena ofooka kapena osowa zakudya m'thupi chifukwa cha matenda. Ngati mukumane ndi izi, itanani dokotala wanu nthawi yomweyo kapena mupeze chithandizo chamankhwala mwadzidzidzi: kupuma pang'ono, kupuma pang'ono pakati pa kupuma, kapena kupuma pang'ono.

Kutenga mankhwala ena ndi fentanyl kumachulukitsa chiopsezo cha kupuma koopsa kapena koopsa, kupuma, kapena kukomoka. Uzani dokotala wanu komanso wamankhwala ngati mukumwa kapena mukufuna kumwa mankhwala aliwonse awa: amiodarone (Nexterone, Pacerone); Aprepitant (Emend); benzodiazepines monga alprazolam (Xanax), chlordiazepoxide (Librium), clonazepam (Klonopin), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), oxazepam, temazepam (Restoril), ndi triazolam) , Epitol, Equetro, Tegretol, Teril); ma antifungal ena monga fluconazole (Diflucan), itraconazole (Onmel, Sporanox), ndi ketoconazole (Nizoral); clarithromycin (Biaxin, mu Prevpac); diltiazem (Cardizem, Cartia, Diltzac, Taztia); erythromycin (E-Mycin, Erythrocin); fosamprenavir (Lexiva); mankhwala a matenda amisala ndi nseru; mankhwala ena opweteka; zotsegula minofu; nefazodone; nelfinavir (Viracept); phenytoin (Dilantin, Phenytek); rifampin (Rifadin, Rimactane, ku Rifamate, ku Rifater); ritonavir (Norvir, ku Kaletra); mankhwala ogonetsa; mapiritsi ogona; zotetezera; troleandomycin (TAO) (sikupezeka ku United States); ndi verapamil (Calan, Covera, Verelan). Dokotala wanu angafunike kusintha mlingo wa mankhwala anu ndipo adzakuyang'anirani mosamala. Ngati mumagwiritsa ntchito fentanyl ndi iliyonse yamankhwalawa ndipo mukukhala ndi zizindikiro izi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala mwadzidzidzi: chizungulire chosazolowereka, kupepuka mopepuka, kugona kwambiri, kupuma pang'ono kapena kuvuta, kapena kusayankha. Onetsetsani kuti amene akukusamalirani kapena abale anu akudziwa zomwe zingakhale zovuta kuti athe kuyimbira dokotala kapena chithandizo chamankhwala mwadzidzidzi ngati simungathe kupeza chithandizo chamankhwala panokha. Ngati mumagwiritsa ntchito fentanyl ndi iliyonse mwa mankhwalawa ndipo mukukhala ndi zizindikiro izi, pitani kuchipatala nthawi yomweyo kapena funani chithandizo chamankhwala mwadzidzidzi: chizungulire chosazolowereka, kupepuka mopepuka, kugona kwambiri, kupuma pang'ono kapena kuvuta, kapena kusayankha. Onetsetsani kuti amene akukusamalirani kapena abale anu akudziwa zomwe zingakhale zovuta kuti athe kuyimbira dokotala kapena chithandizo chamankhwala mwadzidzidzi ngati simungathe kupeza chithandizo chamankhwala panokha.

Kumwa mowa, kumwa mankhwala akuchipatala kapena osapereka mankhwala omwe ali ndi mowa, kapena kugwiritsa ntchito mankhwala osokoneza bongo mukamamwa mankhwala ndi fentanyl kumawonjezera chiopsezo kuti mudzakumana ndi zovuta zoyipa izi. Musamamwe mowa, kumwa mankhwala akuchipatala kapena osalemba omwe muli ndi mowa, kapena kugwiritsa ntchito mankhwala osokoneza bongo mumsewu mukamamwa mankhwala.

Musalole kuti wina aliyense agwiritse ntchito mankhwala anu. Zigawo za Fentanyl zitha kuvulaza kapena kupha anthu ena akulu ndi ana omwe amazigwiritsa ntchito. Sungani zigamba za fentanyl pamalo otetezeka kuti wina asazigwiritse ntchito mwangozi kapena mwadala. Samalani kwambiri kuti zigamba za fentanyl zisamayandikire ana. Onetsetsani kuti ndi zingati zomwe zatsala kuti mudziwe ngati pali zina zomwe zikusowa.

Anthu omwe sakuchiritsidwa ndi zigamba za fentanyl atha kuvulazidwa kwambiri kapena kufa ngati mbali yolimba ya chigamba ikhudza khungu lawo. Samalani kuti musalole kuti mbali yomata ya chigamba igwire khungu la wina aliyense. Ngati mukusunga kapena kusamalira ana, onetsetsani kuti sakugwira chigamba chanu. Ngati chigambacho chatuluka mwangozi mthupi lanu ndikumamatira pakhungu la munthu wina, chotsani pomwepo, tsukani malowo ndi madzi oyera, ndikupeza chithandizo chadzidzidzi.

Zigawo za Fentanyl zomwe zakhala zikugwiritsidwa ntchito masiku atatu zili ndi mankhwala okwanira kuvulaza kapena kupha akulu kapena ana omwe sakuwalandira. Osataya zigamba zogwiritsidwa ntchito kapena zosagwiritsidwa ntchito mu chidebe kapena kuzisiya pamalo pomwe zingapezeke ndi ena, makamaka ana. Kutaya zigamba zogwiritsidwa ntchito ndi zosafunikira molingana ndi malangizo. (Onani KUSUNGA NDIPONSO KUTAYA.)

Ngati fentanyl chigamba chanu chikuwotchedwa kwambiri, chimatha kutulutsa mankhwala ochulukirapo m'thupi lanu nthawi imodzi. Izi zimatha kuyambitsa zizindikilo zowopsa kapena zowopsa. Musayalule chigamba chanu kapena khungu lanu mozungulira kuti lizitsogolera kutentha monga mapiritsi otenthetsera, mabulangete amagetsi, nyali zotentha, ma sauna, malo osambira otentha, ndi mabedi amadzi otentha. Musatenge nthawi yayitali, malo osamba otentha kapena kutentha dzuwa pamene mwavala chigamba. Chigawo chako chimatha kutulutsanso mankhwala ochulukirapo ngati muli ndi malungo kapena mukatentha kwambiri mutachita masewera olimbitsa thupi. Pewani zolimbitsa thupi zomwe zingakupangitseni kutentha kwambiri. Itanani dokotala wanu nthawi yomweyo ngati muli ndi malungo. Dokotala wanu angafunikire kusintha mlingo wanu.

Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Ngati mumagwiritsa ntchito zigamba za fentanyl pafupipafupi mukakhala ndi pakati, mwana wanu amatha kukhala ndi ziwopsezo zochoka pobereka. Uzani dokotala wa mwana wanu nthawi yomweyo ngati mwana wanu akukumana ndi izi: kukwiya, kusakhazikika, kugona mokwanira, kulira kwambiri, kugwedeza kosalamulirika kwa gawo lina la thupi, kusanza, kutsegula m'mimba, kapena kulephera kunenepa.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba chithandizo ndi zigamba za fentanyl ndipo nthawi iliyonse mukadzaza mankhwala anu. Werengani nkhaniyi mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso. Muthanso kuyendera tsamba la Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kapena tsamba laopanga kuti mupeze Medication Guide.

Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa.

Zigawo za Fentanyl zimagwiritsidwa ntchito kuti muchepetse kupweteka kwambiri kwa anthu omwe akuyembekezeredwa kufunafuna mankhwala opweteka nthawi usana kwa nthawi yayitali komanso omwe sangalandire mankhwala ena. Fentanyl ali mgulu la mankhwala otchedwa opiate (narcotic) analgesics. Zimagwira ntchito posintha momwe ubongo ndi dongosolo lamanjenje zimayankhira ndikumva kuwawa.

Transdermal fentanyl imabwera ngati chigamba chogwiritsa ntchito pakhungu. Chigawochi chimagwiritsidwa ntchito pakhungu kamodzi kwamaola 72. Sinthani chigamba chanu nthawi yofananira tsiku lililonse mukasintha. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Ikani zigamba za fentanyl ndendende monga mwalamulira.

Dokotala wanu akhoza kukuyambitsani pa fentanyl chigamba chotsika pang'ono pang'ono ndikuwonjezera mlingo wanu, osapitilira kamodzi masiku atatu alionse koyambirira, osatinso kangapo kamodzi masiku asanu ndi limodzi. Dokotala wanu akhoza kuchepetsa mlingo wanu ngati mukukumana ndi zovuta. Lankhulani ndi dokotala wanu za momwe mukumvera mukamachiritsidwa ndi zigamba za fentanyl.

Zigawo za Fentanyl zimangogwiritsidwa ntchito pakhungu. Osayika zigamba pakamwa panu kapena kutafuna kapena kumeza zigamba.

Osasiya kugwiritsa ntchito zigamba za fentanyl osalankhula ndi dokotala. Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono. Ngati mwasiya mwadzidzidzi kugwiritsa ntchito zigamba za fentanyl mutha kukhala ndi zizindikilo zakusiya. Itanani dokotala wanu ngati mukukumana ndi chimodzi mwazizindikiro zakusiyaku: kusakhazikika, maso otuluka, mphuno yothamanga, kuyasamula, kutuluka thukuta, kuzizira, kupweteka kwa minofu, ana akulu (mabwalo akuda pakatikati pa maso), kukwiya, nkhawa, kupweteka kwa msana, kupweteka m'malo olumikizirana mafupa, kufooka, kukhumudwa m'mimba, kugona tulo kapena kugona tulo, nseru, kusowa kwa njala, kusanza, kutsegula m'mimba, kugunda kwamtima, kapena kupuma mwachangu.

Musagwiritse ntchito fentanyl chigamba chomwe chimadulidwa, kuwonongeka, kapena kusinthidwa mwanjira iliyonse.Ngati mugwiritsa ntchito zigamba zodulidwa kapena zowonongeka, mutha kulandira mankhwala ambiri kapena onse nthawi imodzi, m'malo mopitilira masiku atatu. Izi zitha kubweretsa mavuto akulu, kuphatikiza kuchuluka kwa bongo komanso kufa.

Mutha kusamba, kusambira, kapena kusamba mutavala chigamba cha fentanyl. Ngati chigamba chiwonongeka panthawiyi, chitayeni bwino. Ndiye youma khungu lanu kwathunthu ndi ntchito chigamba latsopano. Siyani chigamba chatsopano m'malo mwa maola 72 mutachigwiritsa ntchito.

Mutha kuyika chigamba cha fentanyl pachifuwa, kumbuyo, m'manja, kapena m'chiuno mwanu. Ngati mukupaka chigamba kwa mwana kapena kwa munthu yemwe satha kuganiza bwino, sankhani malo kumbuyo chakumtunda kuti zikhale zovuta kuti munthuyo achotse chidacho ndikuyika pakamwa pake. Sankhani malo akhungu lathyathyathya komanso lopanda ubweya. Osayika chigamba m'zigawo za thupi zomwe zimayenda kwambiri kapena khungu lomwe lakhala ndi cheza kapena lomwe limagwira, lopaka mafuta kwambiri, losweka, lopwetekedwa, losweka, lodulidwa kapena lowonongeka. Ngati pali tsitsi pakhungu, gwiritsani ntchito lumo kuti muzimeta tsitsilo pafupi ndi khungu momwe mungathere. Osameta m'deralo.

Kuti mugwiritse ntchito chigamba, tsatirani izi:

1. Sambani malo omwe mukufuna kupaka chigambacho ndi madzi omveka ndikuphimba kwathunthu. Musagwiritse ntchito sopo, mafuta odzola, kapena mafuta.
2. Ing'ambani tsegulani thumba lomwe lili ndi chikhatho cha fentanyl m'mbali mwamadontho, kuyambira pakadutsako. Chotsani chigamba m'thumba ndikuchotsani mbali zonse ziwiri zotetezera kumbuyo kwa chigamba. Yesetsani kuti musakhudze mbali yomata ya chigamba.
3. Nthawi yomweyo kanikizani mbali yomata ya chigamba kudera losankhidwa ndi chikhato cha dzanja lanu.
4. Sakanizani chigamba mwamphamvu kwa masekondi 30. Onetsetsani kuti chidutswacho chimamatira pakhungu lanu, makamaka kuzungulira m'mbali.
5. Ngati chigamba sichikumamatira bwino kapena chimamasuka pambuyo poti chagwiritsidwa, pezani m'mbali mwa khungu lanu ndi tepi yothandizira. Ngati chigambacho sichikumamatira bwino, mutha kuchiphimba ndi mavalidwe a Bioclusive kapena Tegaderm. Osaphimba chigamba ndi mtundu wina uliwonse wa bandeji kapena tepi.
6. Ngati chigamba chikugwa nthawi yake yochotsa isanakwane, tulutsani bwino ndipo chotsani chigamba chatsopano. Siyani chigamba chatsopano m'malo mwa maola 72.
7. Mukamaliza kuyika chigamba, sambani m'manja ndi madzi nthawi yomweyo.
8. Nthawi yakwana yoti musinthe chigamba chanu, pezani chigamba chakale ndikuthira chigamba chatsopano pakhungu lina.
9. Mukachotsa chigamba chanu, pindani pakati ndi mbali zomata palimodzi ndikuchiponya mchimbudzi.

Mankhwalawa nthawi zina amapatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanagwiritse ntchito zigamba za fentanyl,

• uzani dokotala ndi wamankhwala ngati muli ndi matupi awo sagwirizana ndi fentanyl, kapena mankhwala aliwonse, kapena zosakaniza zilizonse za fentanyl. Funsani dokotala wanu kapena wamankhwala kapena onani malangizo a Medication kuti muwone mndandanda wa zosakaniza.
• Uzani dokotala wanu komanso wamankhwala mankhwala ena omwe simukupatsidwa, mavitamini, ndi zowonjezera zakudya zomwe mukumwa kapena mukukonzekera. Onetsetsani kuti mwatchula mankhwala omwe alembedwa mu CHENJEZO CHOFUNIKA ndi mankhwala aliwonse otsatirawa: antihistamines (omwe amapezeka mu chifuwa, kuzizira, komanso mankhwala osokoneza bongo); buprenorphine (Buprenex, Subutex, mu Suboxone); kachilombo; dextromethorphan (yomwe imapezeka m'mankhwala ambiri a chifuwa; ku Nuedexta); lifiyamu (Lithobid); mankhwala a mutu waching'alang'ala monga almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Alsuma, Imitrex, ku Treximet), ndi zolmitriptan (Zomig); mirtazapine (Remeron); nalbuphine; pentazocine (Talwin); mankhwala ogonetsa; 5HT₃ otsekemera a serotonin monga alosetron (Lotronex), dolasetron (Anzemet), granisetron (Kytril), ondansetron (Zofran, Zuplenz), kapena palonosetron (Aloxi); serotonin-reuptake inhibitors monga citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, mu Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Prozac, Pexeva), ndi sertraline (Zoloft); serotonin ndi norepinephrine reuptake inhibitors monga desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), milnacipran (Savella), ndi venlafaxine (Effexor); trazodone (Oleptro); kapena tricyclic antidepressants ('mood elevator') monga amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactiline), ndi trimipramine. Komanso uzani dokotala kapena wamankhwala ngati mukumwa kapena kulandira mankhwala otsatirawa kapena mwasiya kumwa mankhwalawa m'masabata awiri apitawa: monoamine oxidase (MAO) inhibitors kuphatikiza isocarboxazid (Marplan), linezolid (Zyvox), methylene buluu, phenelzine (Nardil) , selegiline (Eldepryl, Emsam, Zelapar), ndi tranylcypromine (Parnate). Mankhwala ena ambiri amathanso kulumikizana ndi fentanyl, chifukwa chake onetsetsani kuti mumauza dokotala za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu za mankhwala azitsamba omwe mukumwa, makamaka wort ya St. John's ndi tryptophan.
• uzani dokotala wanu ngati mwakhalapo kapena mudakhalapo ndi ziwalo (ziwalo zomwe chakudya chodetsedwa sichidutsa m'matumbo). Dokotala wanu angakuuzeni kuti musagwiritse ntchito zigamba za fentanyl.
• uzani dokotala wanu ngati mwakhalapo kapena munagwapo; kuchepa kwa mtima; zovuta kukodza; kuthamanga kwa magazi; kapena chithokomiro, mtima, chiwindi, kapamba, ndulu, kapena matenda a impso.
• Uzani dokotala wanu ngati mukuyamwitsa.
• Muyenera kudziwa kuti mankhwalawa amachepetsa kubereka kwa abambo ndi amai. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito fentanyl transdermal patch.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukugwiritsa ntchito zigamba za fentanyl.
• muyenera kudziwa kuti mankhwalawa akhoza kukupangitsani kugona. Osayendetsa galimoto, kugwiritsa ntchito makina, kapena kuchita zina zoopsa mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• muyenera kudziwa kuti zigamba za fentanyl zimatha kuyambitsa chizungulire, mutu wopepuka, komanso kukomoka mukadzuka mwachangu pamalo abodza. Izi ndizofala kwambiri mukayamba kugwiritsa ntchito zigamba za fentanyl. Pofuna kupewa vutoli, tulukani pabedi pang'onopang'ono, ndikupumitsa mapazi anu pansi kwa mphindi zingapo musanayimirire.
• Muyenera kudziwa kuti zigamba za fentanyl zimatha kudzimbidwa. Lankhulani ndi dokotala wanu zakusintha zakudya kapena kugwiritsa ntchito mankhwala ena kuti muchepetse kapena kudzimbidwa mukamagwiritsa ntchito zigamba za fentanyl.

Lankhulani ndi dokotala wanu za kudya zipatso zamtengo wapatali ndi kumwa madzi amphesa pogwiritsira ntchito mankhwalawa.

Mukaiwala kuyika kapena kusintha chigamba cha fentanyl, ikani chidutswacho mukakumbukira. Onetsetsani kuti muchotse chigamba chanu musanagwiritse ntchito chigamba chatsopano. Valani chigamba chatsopanocho kwa nthawi yayitali yomwe adokotala anu (nthawi zambiri masiku atatu) ndikusintha. Musamavale zipsera ziwiri nthawi imodzi pokhapokha dokotala atakuwuzani kuti muyenera kutero.

Zigawo za Fentanyl zimatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• mutu
• zosintha
• kumva kuzizira
• Kusinza
• kukhumudwa
• kuvuta kugona kapena kugona
• kugwedezeka kosalamulirika kwa gawo lina la thupi
• kupweteka, kuwotcha, kumva kulasalasa, kapena dzanzi m'manja kapena m'mapazi
• pakamwa pouma
• kupweteka m'mimba
• kudzimbidwa
• kupweteka kwa msana
• kuvuta kukodza
• kuyabwa
• khungu, kufiira, kuyabwa, kapena kutupa mdera lomwe mumavala chigamba

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa MUCHENJEZO CHENJEZO, itanani dokotala wanu mwachangu:

• kusintha kwa kugunda kwa mtima
• kusakhazikika, kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe), malungo, thukuta, chisokonezo, kugunda kwamtima, kunjenjemera, kuuma minofu mwamphamvu kapena kugwedezeka, kutayika kwa mgwirizano, nseru, kusanza, kapena kutsekula m'mimba
• nseru, kusanza, kusowa kwa njala, kufooka, kapena chizungulire
• Kulephera kupeza kapena kusunga erection
• msambo wosasamba
• Kuchepetsa chilakolako chogonana
• kupweteka pachifuwa
• kulanda
• zidzolo
• ming'oma
• kutupa kwa maso, nkhope, pakamwa, lilime, mmero, mikono, manja, mapazi, akakolo, kapena miyendo yakumunsi
• ukali
• kuvuta kupuma kapena kumeza

Zigawo za Fentanyl zimatha kuyambitsa zovuta zina. Itanani dokotala wanu ngati muli ndi mavuto achilendo mukamagwiritsa ntchito zigamba za fentanyl.

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Sungani zigamba za fentanyl kutentha ndi kutentha pang'ono ndi chinyezi (osati kubafa).

Muyenera kutaya zigamba zilizonse zomwe zagwiritsidwa ntchito kapena zosagwiritsidwa ntchito zomwe zatha ntchito kapena zosafunikanso kudzera pulogalamu yobwezeretsa mankhwala. Ngati mulibe pulogalamu yobwezera pafupi kapena yomwe mungathe kulowa nayo mwachangu, ndiye kuti ponyani zigamba zilizonse pochotsa mosamala zomata, pindani mbali zomata za chigamba chilichonse kuti zizidziphatika, kenako ndikutuluka zigamba zopindidwa pansi pa chimbudzi. Tayani zikwama ndi zingwe zoteteza ku zinyalala. Sambani manja anu bwino ndi madzi mutataya zigamba za fentanyl. Musati muike zigamba za fentanyl zosafunikira kapena zogwiritsidwa ntchito pamalo otayira zinyalala.

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Pakadwala mopitirira muyeso, chotsani chikopa cha fentanyl pakhungu la wozunzidwayo ndikuyimbira zadzidzidzi ku 911.

Mukamagwiritsa ntchito zigamba za fentanyl, muyenera kukambirana ndi adotolo za mankhwala opulumutsa omwe amatchedwa naloxone omwe amapezeka mosavuta (mwachitsanzo, kunyumba, ofesi). Naloxone imagwiritsidwa ntchito kusintha zomwe zimawopseza moyo chifukwa cha bongo. Zimagwira ntchito poletsa zotsatira za ma opiate kuti athetse zovuta zomwe zimayambitsidwa ndi ma opiate ambiri m'magazi. Dokotala wanu amathanso kukupatsirani naloxone ngati mukukhala m'nyumba momwe muli ana aang'ono kapena wina yemwe wagwiritsa ntchito mankhwala osokoneza bongo mumsewu. Muyenera kuwonetsetsa kuti inu ndi abale anu, osamalira odwala, kapena anthu omwe mumacheza nanu mukudziwa momwe mungadziwire kuchuluka kwa mankhwala osokoneza bongo, momwe mungagwiritsire ntchito naloxone, ndi zomwe muyenera kuchita mpaka chithandizo chadzidzidzi chidzafike. Dokotala wanu kapena wamankhwala akuwonetsani inu ndi abale anu momwe mungagwiritsire ntchito mankhwalawa. Funsani wamankhwala wanu kuti akupatseni malangizowo kapena pitani patsamba la wopanga kuti mupeze malangizowo. Ngati zizindikilo za bongo zikachitika, mnzanu kapena wachibale akuyenera kupereka mlingo woyamba wa naloxone, itanani 911 mwachangu, ndikukhala nanu ndikukuyang'anirani mpaka thandizo ladzidzidzi litafika. Zizindikiro zanu zimatha kubwerera mkati mwa mphindi zochepa mutalandira naloxone. Ngati zizindikiro zanu zibwerera, munthuyo akuyenera kukupatsaninso mankhwala a naloxone. Mlingo wowonjezerapo ungaperekedwe mphindi ziwiri kapena zitatu zilizonse, ngati zizindikiro zibwerera chithandizo chamankhwala chisanabwere.

Zizindikiro za bongo zingaphatikizepo izi:

• kuvuta kupuma
• kupuma pang'ono kapena pang'ono
• kugona kwambiri kapena kutopa
• kuvuta kuganiza, kulankhula, kapena kuyenda bwinobwino
• ang'onoang'ono, onetsetsani ophunzira (mabwalo akuda pakati pa diso)
• kukomoka
• chizungulire
• chisokonezo
• osakhoza kuyankha kapena kudzuka

Sungani maimidwe onse ndi dokotala ndi labotale. Dokotala wanu amalamula mayeso ena a labu kuti muwone momwe thupi lanu likuyankhira kwa fentanyl.

Musanayesedwe mu labotale (makamaka yomwe imakhudza methylene buluu), uzani adotolo ndi omwe akuwagwiritsira ntchito fentanyl.

Mankhwalawa sangabwerenso. Onetsetsani kuti mwakhazikitsa nthawi yokumana ndi dokotala nthawi zonse kuti musamalize mankhwala ngati dokotala akufuna kuti mupitilize kugwiritsa ntchito zigamba za fentanyl.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

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